B-2019-0183BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS:
OWNER'S NAME: Not provided
OWNER'S PHONE: Not Provided
CONTRACTOR:
BUILD BY TITAN INC, 325 PHELAN AVE SAN JOSE
CONTRACTOR PHONE:
4083387788
DATE ISSUED 11 /6/2019 2:48:20 PM
ISSUED BY: KDUNBAR
VALUATION: $900000
JOB DESCRIPTION
UNIT (514 SF); GARAGE (498 SF); PORCH (451 SF) REV#1 - REVISE WINDOW TYPES AND SIZES; ADD CLOSET TO
(N) 2-STORY SINGLE FAMILY DWELLING (3,524 SF); ATTACHED 2ND
MASTER BEDROOM- ISSUED 11-6-2019
LICENSED CONTRACTOR DECLARATION
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
BUILD
LICENSED
B GENERAL
LICENSED
948867
EXP
06/30/2020
I hereby
force
I hereby
BY TITAN INC
CLASS:
BUILDING
NO:
DATE:
affirm that
and effect.
affirm under
I have and
for which this
I have and
I certify that
laws
with such
CONTRACTOR, C54 TILE (CERAMIC AND MOSAIC)
I am licensed under the provisions of Chapter
penatiy of perjury one of the following three
will maintain a certificate of consent to self -insure
permit is issued.
will maintain Worker's Compensation Insurance,
in the performance of the work for which this permit
of California. If, after making this certificate of
provisions or this permit shall be deemed revoked.
declarations:
for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work
as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is issued, I shall not employ any person in any manner so as to become subject to the Worker's
exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
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issued.
Compensation
comply
HAZARDOUS MATERIALS DISCLOSURE
6.95 of the California Health & Safety Code. Sections 25505, 25533. and 25534. I will maintain compliance
I have read the hazardous materials requirements under Chapter
the Cupertino Municipal Code, Chapter 9.12 and the Health
V
with
equipment
Municipal
& Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
25505, 25533, and 25534.
this project.
Firm Certification No:
or devices which emit hazardous air contaminants as
Code, Chapter 9.12 and the Health & Safety Code, Sections
An EPA Lead -Safe Certified Renovator will be responsible for
Firm Name:
No EPA Lead -Safe Certified Firm is required for this project.
Certified
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CONSTRUCTION LENDING AGENCY
lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Lender's Address:
I hereby
affirm
under penalty of perjury that there is a construction
No
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Lender's
Name:
APPLICATION CERTIFICATION
information is correct. I agree to comply with all city and county ordinances and state laws relating to building
enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep
and expenses
issued shall become invalid unless the work on the site authorized by such permit is commenced within 365 days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period